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Fisher was born in Vancouver, British Columbia. He began his acting career at the age of 14 in the television movie The Sheldon Kennedy Story.[3] During his time as a young actor in Vancouver, he was encouraged to "take many different classes" and "fell in love" with piano, which he studied for eight years.[4]

Fisher began his acting career at age 14. He debuted in 1999 with The Sheldon Kennedy Story, a sport drama movie on the ice hockey player Sheldon Kennedy. His performance landed Fisher his first Gemini Awards nomination. He gained a second nomination with the TV series Godiva's in 2005.[5]
He played Brian Gibbons in Final Destination 2 in 2003, one of his first roles in an American movie. From 2007, Fisher became more known by public due to the FX series The Riches, portraying Cael, the conniving and clever son of Eddie Izzard and Minnie Driver.
Fisher has received many accolades for playing Mickey Milkovich, a gay thug character on Shameless.[5] Though Fisher is straight, his sexuality is often questioned in interviews. He has responded to the controversy as such, "I don't look at Mickey as a gay character. I look at him as a person, who happens to be gay. I think it's weird how we, as a society, try to put the LGBT community in a box, when in fact, they are just people. They have the same complexities as you and me. That's how I look at Mickey, as a complex person."[6] He is seen in the National Geographic miniseries called The Long Road Home as Pfc. Tomas Young, the 24-year-old soldier and later peace activist in the battle held on April 4, 2004, also known as the "Black Sunday".[7] In March 2018, Fisher joined the Al Capone biopic Fonzo as Junior, Capone’s son.[8] He will star in the upcoming CBS series The Red Line and also recurs in the Hulu series Castle Rock.[9][10]